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		<title>鲜度一百经销商</title>

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													<h1>鲜度一百</h1>
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															<span class="hidden-sm">Joe Armand</span>
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																<a href="我的授信.html" class="process-wp-alnk">
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																		我的额度
																		283684/400000
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																			50%
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																<a href="#">安全退出</a>
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											<a href="首页.html"><i class="fa fa-home"></i></a>
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											<a href="我的商铺.html">我的商铺</a>
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										<li>
											<a href="新增商铺.html">申请新增商铺</a>
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			<section id="content" class="two-col-content task-content">
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								<li class="nav-title row no-margin">
									<div class="col-md-9 col-sm-9">
										<h4>线下商铺</h4>
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								<li class="active">
									<a href="我的商铺.html"><i class="fa fa-sitemap"></i> 我的商铺</a>
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									<a href="商铺分组.html"><i class="fa fa-comments"></i> 商铺分组</a>
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									<a href="商铺订单.html"><i class="fa fa-bookmark"></i> 商铺订单</a>
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								<li class="hassubmenu">
									<a class="itm_1" href="javascript:void(0)"><i class="fa fa-chevron-circle-down"></i><i class="fa fa-chevron-circle-right"></i> 管理商城</a>
									<div class="nav_subs nav_sub_2" style="display: none;">
										<a href="商品列表.html" class="itm_2">商品列表</a>
										<a href="分类管理.html" class="itm_2">分类管理</a>
										<a href="新增商品.html" class="itm_2">新增商品</a>
										<a href="橱窗管理.html" class="itm_2">橱窗管理</a>
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							<ul class="nav nav-sidebar">
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									<div class="col-md-9 col-sm-9">
										<h4>采购基地</h4>
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								<li>
									<a href="采购单.html"><i class="fa fa-bookmark-o"></i> 采购单</a>
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								<li>
									<a href="采购基地.html"><i class="fa fa-archive"></i> 采购基地</a>
								</li>
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							<ul class="nav nav-sidebar">
								<li class="nav-title row no-margin">
									<div class="col-md-9 col-sm-9">
										<h4>金融</h4>
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								</li>
								<li>
									<a href="我的授信.html"><i class="fa fa-pie-chart"></i> 我的授信</a>
								</li>
								<li>
									<a href="历史账单.html"><i class="fa fa-history"></i> 历史账单</a>
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						<div class="col-sm-9 col-sm-offset-3 col-md-10 col-md-offset-2 main">
							<div class="inner no-pad-t no-pad-b">

								<div class="page-header-container row">
									<div class="col-md-6">
										<button type="button" class="btn btn-white btn-toggle btn-icon hidden-sm hidden-md hidden-lg" data-toggle="offcanvas-sm">
											<i class="fa fa-bars m-right"></i> Menu
										</button>
										<h1 class="page-header page-header-action">申请新增商铺</h1>
									</div>

									<div class="col-md-6 text-right">
										<ul class="header-action task-action list-inline">
											<li class="current">
												<div class="btn-group">
													<span class="btn empty-btn yunyingzhong">运营中</span>
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											</li>
											<li class="current">
												<div class="btn-group" role="group" aria-label="...">
													<button class="btn btn-danger">冻结店铺</button>
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								<section class="tabular-data">
									<div class="row">
										<div class="col-md-12">

											<div class="panel panel-default">
												<div class="panel-heading">
													<h3 class="panel-title">基本信息</h3>
												</div>
												<div class="panel-body">
													<form class="form-normal form-horizontal clearfix">
														<div class="col-md-9">
															<div class="form-group">
																<label for="" class="col-sm-4 control-label">商铺名称</label>
																<div class="col-sm-8">
																	<input type="text" class="form-control" id="" value="蔚蓝海岸商铺201">
																</div>
															</div>

															<div class="form-group">
																<label for="" class="col-sm-4 control-label">省份</label>
																<div class="col-sm-8">
																	<select class="form-control">
																		<option>选择省份</option>
																		<option>北京</option>
																		<option>上海</option>
																		<option>广东</option>
																		<option>福建</option>
																	</select>
																</div>
															</div>

															<div class="form-group">
																<label for="" class="col-sm-4 control-label">城市</label>
																<div class="col-sm-8">
																	<select class="form-control">
																		<option>选择城市</option>
																		<option>深圳</option>
																		<option>广州</option>
																		<option>珠海</option>
																		<option>惠州</option>
																		<option>阳江</option>
																		<option>增城</option>
																		<option>惠州</option>
																	</select>
																</div>
															</div>

															<div class="form-group">
																<label for="" class="col-sm-4 control-label">区/县</label>
																<div class="col-sm-8">
																	<select class="form-control">
																		<option>选择区</option>
																		<option>罗湖区</option>
																		<option>福田区</option>
																		<option>南山区</option>
																		<option>宝安区</option>
																		<option>盐田区</option>
																	</select>
																</div>
															</div>

															<div class="form-group">
																<label for="" class="col-sm-4 control-label">地址</label>
																<div class="col-sm-8">
																	<input type="text" class="form-control" id="" value="后海滨路203号 蔚蓝海岸商铺201">
																</div>
															</div>

															<div class="form-group">
																<label for="" class="col-sm-4 control-label">法人姓名</label>
																<div class="col-sm-8">
																	<input type="text" class="form-control" id="" value="张三">
																</div>
															</div>

															<div class="form-group">
																<label for="" class="col-sm-4 control-label">联系电话</label>
																<div class="col-sm-8">
																	<input type="text" class="form-control" id="" value="18937773846">
																</div>
															</div>

															<div class="form-group">
																<label for="" class="col-sm-4 control-label">法人身份证正面</label>
																<div class="col-sm-8">
																	<div class="change-avatar">
																		<span class="thumb-md avatar"> 
																			<img src="img/picture-128.png" width="80"/>
																		</span>
																		<!-- Display filename inside the button instead of its label -->
																		<input type="file" data-filename-placement="inside" title="点击选择图片">
																	</div>
																</div>
															</div>

															<div class="form-group">
																<label for="" class="col-sm-4 control-label">法人身份证反面</label>
																<div class="col-sm-8">
																	<div class="change-avatar">
																		<span class="thumb-md avatar"> 
																			<img src="img/picture-128.png" width="80"/>
																		</span>
																		<!-- Display filename inside the button instead of its label -->
																		<input type="file" data-filename-placement="inside" title="点击选择图片">
																	</div>
																</div>
															</div>

															<div class="form-group">
																<label for="" class="col-sm-4 control-label">营业执照</label>
																<div class="col-sm-8">
																	<div class="change-avatar">
																		<span class="thumb-md avatar"> 
																			<img src="img/picture-128.png" width="80"/>
																		</span>
																		<!-- Display filename inside the button instead of its label -->
																		<input type="file" data-filename-placement="inside" title="点击选择图片">
																	</div>
																</div>
															</div>

															<div class="form-group">
																<label for="" class="col-sm-4 control-label">商铺介绍</label>
																<div class="col-sm-8">
																	<textarea class="form-control" rows="5">本商铺位于南山蛇口高端小区内部，人流量充足，客单价客观，供应量充足，需要较大额度，也会产生较大资金流水。</textarea>
																</div>
															</div>

															<div class="form-group">
																<label for="" class="col-sm-4 control-label">商铺分组</label>
																<div class="col-sm-8">
																	<select class="form-control">
																		<option>无商铺分组</option>
																		<option>分组001</option>
																		<option>分组002</option>
																		<option>分组003</option>
																		<option>分组004</option>
																	</select>
																</div>
															</div>
															
															<div class="form-group">
																<div class="col-sm-offset-4 col-sm-8">
																	<input type="button" class="btn btn-success" onclick="location.href='结果.html'" value="提交申请" />
																</div>
															</div>
														</div>
													</form>
												</div>
											</div>
										</div>

									</div>

								</section>

							</div>

						</div>

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			</section>

			<section id="footer">
				<div class="col-sm-9 col-sm-offset-3 col-md-10 col-md-offset-2 footer">
					<div class="container-fluid">
						<div class="row">
							<div class="col-md-6  col-sm-6 col-xs-12">
								<div class="copy">
									&copy;
									<a href="#">鲜度一百</a> 2017
								</div>
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										<li>
											<a href="#">服务条款</a>
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										<li>
											<a href="#">联系我们</a>
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